| NPI | 1144878398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NC 17899) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-08-30 |
| Last Update Date | 2025-09-18 |